Using The 5-Star Rating to Grow Business | Axxess

▤ Summary

This data is updated quarterly on the CMS website and used by potential consumers, referral sources, insurance carriers, accountable care organizations (ACOs), and Integrated Delivery Networks to determine their agency of choice. Without an accurate initial representation of the patient’s deficits, the final OASIS assessment will not be able to reflect the positive changes over the course of care. Many, if not all, agency leaders and managers have been in a situation where they discuss a case with a clinician in which the outcomes do not show any improvement. Invariably clinicians respond along the lines of “that doesn’t make any sense, the patient is much better now than when we started care.” However, the initial assessment may have been too kind and did not accurately capture the deficits. In addition to likely yielding an artificially low case-mix weight and reimbursement, it also hampers the ability to document improvement over the course of care.

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